What is it?

The shin (Tibia) is the bone located on the front of the lower leg below the knee. Pain over this bone or pain involving the muscles on either side of this bone is referred to as Medial Tibial Stress Syndrome (MTSS), or more commonly known as “Shin Splints”.

What are the symptoms?

  • Pain to the front of the lower leg, usually brought on by exercise
  • Can be painful at the beginning or following exercise
  • Tenderness and pain with palpation along the shin bone
  • No rest pain or swelling is usually experienced

Why did I get it?

Injuries such as “Shin Splints” are usually brought on by a number of different factors including:

  • Flat feet or high arched feet
  • Recent increase in exercise levels
  • Poor or inappropriate footwear
  • Poor running biomechanics
  • Tight muscles
  • Hard training surface

Treatment options

  • Ice 20mins each day & after exercise
  • REST & Modify your exercise
  • Stretching/Massage/Dry needling to calf muscles
  • Changing footwear
  • Orthotics (Custom insoles)
  • Ankle & Foot mobilisation
  • Assess your running technique


It is important to have the correct diagnosis of your injury made as soon as possible to ensure the correct treatment path. The timeframe will vary depending on how severe your pain is and how long you have had it for. In severe cases, if left untreated, your “Shin Splints” may develop into a stress fracture which is more severe and will require a longer time to resolve.